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Drew Hittenberger
Prosthetic/Orthotic Supplier in Petaluma, California
NPI 1437468501

Drew Hittenberger is a Prosthetic/Orthotic Supplier based in Petaluma, CA. Drew Hittenberger practices in Petaluma, CA. The NPI Number for Drew Hittenberger is 1437468501 and holds a License No. CP1093 (California).

The current practice location address for Drew Hittenberger is 181 Lynch Creek Way, Petaluma, CA and can be reached out via phone at 707-765-1122 and via fax at 707-765-4571.

Location: 181 Lynch Creek Way, Petaluma, CA, 94954-2372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437468501
Provider Name
Drew Hittenberger
Credential
Provider Entity Type
Organization
Address
181 Lynch Creek Way, Petaluma, CA, 94954-2372
Phone Number
707-765-1122
Fax Number
707-765-4571
Provider Enumeration Date
10/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
412983007 01 CA PTAN KENTIFIELD
GXC000123 05 CA
412983006 01 CA PTAN SANTA ROSA
institution
Provider Business Practice Location Address Details
Address
181 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2372
Phone Number
707-765-1122
Fax Number
707-765-4571
person
Provider Business Mailing Address Details
Address
181 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2372
Phone Number
707-765-1122
Fax Number
707-765-4571
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CP1093 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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